Healthcare Provider Details

I. General information

NPI: 1427016260
Provider Name (Legal Business Name): MRI CENTER AT ORTHOPEDIC HOSPITAL, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S FLOWER ST SUITE 100
LOS ANGELES CA
90007-2660
US

IV. Provider business mailing address

2300 S FLOWER ST SUITE 100
LOS ANGELES CA
90007-2660
US

V. Phone/Fax

Practice location:
  • Phone: 213-745-1800
  • Fax: 213-742-1190
Mailing address:
  • Phone: 213-745-1800
  • Fax: 213-742-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: HOWARD JACOBSON
Title or Position: PRESIDENT
Credential:
Phone: 213-745-1800